Healthcare Provider Details

I. General information

NPI: 1073502837
Provider Name (Legal Business Name): GATEWAY AT FLORENCE REHABILITATION HOSPITAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 07/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5940 MERCHANT DR
FLORENCE KY
41042-1158
US

IV. Provider business mailing address

5940 MERCHANT DR
FLORENCE KY
41042-1158
US

V. Phone/Fax

Practice location:
  • Phone: 859-426-2400
  • Fax: 859-426-2419
Mailing address:
  • Phone: 859-426-2400
  • Fax: 859-426-2419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number100928
License Number StateKY

VIII. Authorized Official

Name: MS. SAMANTHA BILLIG
Title or Position: CHEIF EXECUTIVE OFFICER
Credential:
Phone: 859-426-2400